Complaint Investigation Report

At 10:30am LPA requested and reviewed client files and obtained copies of pertinent documents which include, but not limited to Admission Agreement, Physician Reports, Individual Program Plan (IPP), the Facility Program Design, Day Program schedule, and monthly Activity Schedules.

It was reported that on 1/29/2025, a credible witness from North Los Angeles Regional Center (NLARC) conducted an unannounced visit to the facility and requested social and recreational activities/outings calendars and documentation. The Administrator could not provide documentation of any outings provided to the clients. NLARC identified there were no social and/or recreational activities provided in the community to the residents from July 2024 through November 2024.

During the visit, LPA conducted interviews with LVN, three (3) Program Aids working for the AM shift. LPA was unable to interview clients in care due to clients being non-verbal and one (1) out of four (4) clients who is verbal was sleeping.

The information obtained during the interview confirmed the allegation and statements were made that although there is a monthly schedule for social and recreational activities to provide clients in care, they were never provided and/or documented, therefore, the Allegation is Substantiated.

Exit interview conducted, Deficiency issued on LIC9099-D

Copy of appeal rights and report delivered.